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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2004 / Cilt: 32 - Sayı: 3

Anaesthetic management of primary hypothyroidism

Primer hipotirodizmli olguda anestezik yaklaşım

Ebru KELSAKA
Sibel BARIŞ
Binnur SARIHASAN
Deniz KARAKAYA
Pages
230–233
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The aim of our report is to discuss the anaesthetic management in an overt and untreated hypothyroid patient undergoing an emergency surgical procedure in the light of the literature.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Hypothyroidism may result in myocardial depression, abnormal baroreceptor responses, plasma volume reduction, hypoglycemia, hyponatraemia and hypothermia.
📊
Key Findings & Data:Anaesthetic agents overact in this these patients, and the incidence of perioperative cardiovascular morbidity is increased.
💡
Conclusion & Impact:The aim of our report is to discuss the anaesthetic management in an overt and untreated hypothyroid patient undergoing an emergency surgical procedure in the light of the literature.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Hypothyroidism may result in myocardial depression, abnormal baroreceptor responses, plasma volume reduction, hypoglycemia, hyponatraemia and hypothermia. Anaesthetic agents overact in this these patients, and the incidence of perioperative cardiovascular morbidity is increased. Ventilatory response to arterial hypoxia/hypercarbia is decreased. Hypothyroid patients should be rendered euthyroid before surgery. However, we can encounter patients with undiagnosed and untreated hypothyroidism. The aim of our report is to discuss the anaesthetic management in an overt and untreated hypothyroid patient undergoing an emergency surgical procedure in the light of the literature.

Özet

Hipotiroidi, myokard fonksiyonunda depresyona, anormal baroreseptör fonksiyonuna, plazma volümünde azalmaya, hipoglisemiye, hiponatremiye ve hipotermiye neden olabilir. Perioperatif kardiovasküler morbidite insidansı yüksektir. Bu olgularda anestezik ajanlara karşı hem duyarlılık artmıştır hem de arteriel hipoksi/hiperkarbiye ventilatuar yanıt baskılanmıştır. Hipotiroidili olgular, cerrahi öncesi ötiroid duruma getirilmelidir. Ancak, tedavi edilmemiş veya farkına varılmamış hipotiroidili olgular ile karşılaşabiliriz.Bu yazıdaki amacımız, ciddi ve tedavi edilmemiş hipotiroidizmli olgunun acil cerrahi girişiminde uyguladığımız anestezi yöntemini literatür eşliğinde tartışmaktır.

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Cite This Article

KELSAKA, E., BARIŞ, S., SARIHASAN, B., KARAKAYA, D. (2022). Anaesthetic management of primary hypothyroidism. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 32 - Sayı: 3, 230–233. https://ajindex.com/articles/620171

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